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    v1.0.28
    OpenPayerNPI Medicare & MedicaidCharles Foster
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    Charles Foster — Billing Profile & Reimbursement Data

    NPI 1285617530 · Waltham, MA · Ophthalmology Physician

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    Charles Foster is a ophthalmology physician provider located in Waltham, Massachusetts. This profile covers 31 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationCharles Foster
    Address1440 Main Street
    CityWaltham
    StateMA
    ZIP02451
    TaxonomyOphthalmology Physician
    NPI EnumeratedNovember 21, 2005

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$232.6K
    Medicaid$0

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

    The CPT/HCPCS codes generating the most Medicare revenue for this provider.

    31 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99214The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…510$110$53.5K
    88350The analyst performs an immunofluorescent study using a single antibody stain procedure to detect autoimmune disease or an infectious organism in a tissue or cellular sample. Code +88350 describes…340$110$37.4K
    92014An ophthalmologist sees an established patient for a comprehensive level eye examination. Generally, a patient is considered to be "established" if the same physician, or any physician in the group…250$100$26K
    96413Chemotherapy is a therapeutic procedure used for the treatment of cancer via the use of chemical agents. These chemical agents (drugs) work on the cancerous cells of the body to destroy them. These…170$120$21.1K
    88341The lab analyst applies an additional single antibody stain on a slide or slides prepared from the same patient specimen as the initial antibody stain, such as tumor tissue. Then a qualified…190$80$15.5K
    96415In this add on procedure, the provider continues administration of a chemotherapy drug into a vein using an infusion technique. He uses this code to report each additional hour of infusion beyond the…480$30$12.4K
    92235The provider uses a special dye, fluorescein that causes the blood vessels in the one or both eyes to stand out in photographic images taken with the use of multiframe timing, or serial images, taken…60$130$7.8K
    88346The analyst performs an immunofluorescent study using a single antibody stain procedure to detect autoimmune disease or an infectious organism in a tissue or cellular sample.50$140$6.7K
    92134The provider performs computerized diagnostic imaging of the retina in the posterior segment (back part) of the eye, interprets the data, and provides a report. The service may be on one or both eyes.150$30$5.1K
    92083The provider may use one or more methods to determine the extent of a patient's visual field of one or both eyes; he interprets the results and prepares a report. Report this code for an extended…90$50$4.9K

    Showing 1–10 of 31

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 31 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    31 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    920144151,070160$90$30.1K
    964132160120$110$17.6K
    883501050120$60$16.6K
    992141,15515,410110$80$15.6K
    9201239856090$70$12.4K
    9227351030$100$11K
    9213420967070$30$10.6K
    88341240430210$30$9K
    992155,2886,36040$120$8.9K
    88342436470120$40$8.3K

    Showing 1–10 of 31

    Nearby Providers

    Other providers in the same ZIP code as Charles Foster, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Jewish Family & Children's ServiceMAFoster Care Agency$0$11.6M
    Exosome Diagnostics, Inc.MAClinical Medical Laboratory$8.9M$310.6K
    Children's Dental Of Waltham, P.C.MAGeneral Practice Dentistry$0$7.2M
    West Suburban Eye Surgery Center LLCMAOphthalmologic Surgery Clinic/Center$4.9M$1.2M
    Quantum Pathology, LLCMAAnatomic Pathology & Clinical Pathology Physician$3.1M$913.7K
    Boston Eye Surgery & Laser Center TrustMAAmbulatory Surgical Clinic/Center$2.4M$67.1K
    Peter ChangMAOphthalmology Physician$1.3M$0
    Boston Out-patient Surgical Suites, LLCMAAmbulatory Surgical Clinic/Center$693.9K$0
    Stephen AnesiMAOphthalmology Physician$550.8K$0
    Geoffrey Van FlandernMAOrthopaedic Surgery Physician$408.1K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

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    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Massachusetts Distribution
    Charles Foster — 2 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Massachusetts